Fluid Research® Corporation | Multi Component RFQ

We create diverse dispensing solutions
- From everyday single component to filled viscous quadruple components
- we have your solution.

Name:*
Title:
Company:*
Address:*
Address 2:
City:*
State / Province:*
Zip:*
Phone Number:
Fax Number:
E-mail address:*
Website:

GENERAL APPLICATION INFORMATION
Application Type:
Dispense Method:
Production Rate (parts/ minute)
MATERIAL INFORMATION

Material A
Material Manufacturer:
Material Product Number:
Material Type:	Other:
Mixing Ratio by:	Volume Weight
Does material Incorporate a filler?	yes no
Is heat required?	yes no
Is material corrosive?	yes no
Does your material require degassing?	yes no
Is material thixotropic?	yes no
Is material sensitive to moisture?	yes no
Is material abrasive?	yes no

Material B
Material Manufacturer:
Material Product Number:
Material Type:	Other:
Mixing Ratio by:	Volume Weight
Does material Incorporate a filler?	yes no
Is heat required?	yes no
Is material corrosive?	yes no
Does your material require degassing?	yes no
Is material thixotropic?	yes no
Is material sensitive to moisture?	yes no
Is material abrasive?	yes no

Material C
Material Manufacturer:
Material Product Number:
Material Type:	Other:
Mixing Ratio by:	Volume Weight
Does material Incorporate a filler?	yes no
Is heat required?	yes no
Is material corrosive?	yes no
Does your material require degassing?	yes no
Is material thixotropic?	yes no
Is material sensitive to moisture?	yes no
Is material abrasive?	yes no

Shot Size Range:
Flow Rate per Second:
Bead Length:
Bead Width:
Validation code *

Multi Component Dispensing RFQ